The nurse is performing a home visit to an older female patient who has a history of obesity and poorly controlled hypertension. Which assessment finding would be of concern to the nurse?
A) The patient has increased the intake of green tea to obtain more antioxidants.
B) The patient has begun taking low-dose ASA for the prevention of cardiac disease.
C) The patient takes insulin injections three times daily for the treatment of type 1 diabetes.
D) The patient has started taking ginseng and St. John's wort for stamina and concentration.
D
Feedback:
Ginseng and St. John's wort can exacerbate hypertension. Green tea, low-dose aspirin, and insulin will not affect the patient's blood pressure.
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The physician prescribes glyburide (Micronase, DiaBeta, Glynase) for a patient, age 57, when diet and exercise have not been able to control her type 2 diabetes. Which information does the nurse include when teaching her about the glyburide?
a. Glyburide is a substitute for insulin and acts by directly stimulating glucose uptake into the cell. b. Glyburide, like all oral hypoglycemic agents, does not cause the hypoglycemic reactions that may occur with insulin use. c. Glyburide and other hypoglycemic agents are thought to stimulate insulin production and increase sensitivity to insulin at receptor sites. d. Glyburide and other sulfonylureas lower blood sugar by inhibiting glucagon release from the liver, preventing gluconeogenesis.
A resident in the long-term care facility has just expired at 2 AM, and the family is on the way to say their last goodbyes. Before the arrival of the family, the nurse should __________. (Select all that apply.)
a. remove equipment (e.g., IV poles and tubing, feeding tubes, oxygen equipment) b. dress the resident in a clean gown and cover him or her with a clean sheet c. remove dentures d. apply a diaper to catch draining body fluids e. provide privacy by drawing the curtain or moving the other resident to an unoccupied room
The nurse is teaching a client who is undergoing brachytherapy about what to immediately report to her health care provider. Which signs and symptoms would be included in this teaching? (Select all that apply.)
a. Constipation for 3 days b. Temperature of 99 ° F c. Abdominal pain d. Visible blood in the urine e. Heavy vaginal bleeding
The nurse has provided teaching to the client with cystic fibrosis and the family. Which client statement indicates that further instructions are necessary?
1. "I should use the controlled cough technique." 2. "I should not go to the concert this weekend." 3. "I should avoid immunizations." 4. "I will stay inside during days in the summer when pollution is high."